Hospitals

QuitWorks-NH links your patients who want to quit smoking to the full range of the state's tobacco treatment services.

QW for Hospitals

Implementation Guide

How to Get Started

Related Tools

Enrollment Forms

Guides for Providers

Tools for Providers

QuitWorks-NH can help facilities to meet performance standards for smoking cessation, such as JCAHO core measures.

If you have questions or need assistance to use QuitWorks-NH, please email us at quitworksnhinfo@jsi.com or call the QuitWorks-NH counselors at 1-800-TRY-TO-STOP (1-800-879-8678).




QuitWorks-NH Implementation Guide for Hospitals

WHAT WHEN
(Suggested Opportunities)		 HOW
(Suggested Methods)		 WHO
(Person or Position)
1. Identify Smoker and Document Smoking Status Typically at admission or soon after and at every outpatient visit
  • Other options: During hospital stay or prior to discharge
  • Nursing or other assessment form
  • Questionnaire/Survey
  • Vital signs stamp or sticker
  • Document in medical record for JCAHO or quality improvement purposes
 Typically, nurse at admission or administrative personnel
2. Talk with Patient about Tobacco Use
  • Advise patient to quit
  • Assess patient's readiness to quit
  • Ask if patients would like to be enrolled in a free program to help them quit
  • Discuss/Offer pharmacotherapy
 At admission, during hospital stay or visit, or at discharge
  • Use multiple interventions, if possible
 Give patient QuitWorks-NH "Think About It" brochure Nurse, physician, or other clinician
3. Complete Enrollment Form
  • Include provider information
  • Obtain patient signatures
  • Fax enrollment form to 1-866-560-9113 with "call-after date" noted
  • Document that form was faxed and file in patient's medical record
 During hospital stay or outpatient visit or prior to discharge Give patient QuitWorks-NH "Welcome" brochure Nurse, physician, or other clinician
4. Prescribe Pharmacotherapy
(IF APPROPRIATE)
  • For relief of withdrawal symptoms
  • For stopping smoking
 During hospital stay or outpatient visit or prior to discharge See back of enrollment form for dosing guide; form may be customized to indicate medications in hospital formulary Physician
5. Receive Status Reports and Review
  • Fax back patient status report to provider indicated on enrollment form
  • Send optional aggregate reports to hospital or health center
 Post discharge
  • File any status reports sent to the hospital in patient medical record
  • Compile data for JCAHO and quality improvement reports
  • PCP, referring provider, or other designated personnel
  • Quality assurance manager


How to Get Started

Call Us!

For more information or to schedule a meeting, email us at quitworksnhinfo@jsi.com or call the QuitWorks-NH counselors at 1-800-TRY-TO-STOP (1-800-879-8678).

You may also visit www.trytostopnh.org to preview our smoking cessation resources.

Schedule the QuitWorks-NH Team to give a presentation at your facility.

The QuitWorks-NH Team will come to you and lead a one-hour presentation and discussion with your staff on the QuitWorks-NH program and how to customize it for your facility. There is no cost for this session, and it may qualify for continuing education units. Please contact Teresa Brown at: tmbrown@dhhs.state.nh.us.

Think about customized QuitWorks-NH features.

For all participating hospitals and health centers, we design a customized enrollment form, free of charge, to help us track enrollment from your institution and prepare reports for you. We will put your hospital name and logo on the form and highlight the smoking cessation medications available in your formulary. Some institutions also need additional patient consent language. We can help you with this too, and we can provide examples from other hospitals.

COMING SOON: Other customized features are available at a small charge to cover costs:
  • Aggregate data reporting on smokers you enroll in QuitWorks-NH, services they receive, and quit status at six-months post-treatment.
  • Training offered by the University of Massachusetts Medical School for your staff on QuitWorks-NH, on how to talk with smokers, and on smoking cessation medications. Visit our Education & Training section for more information.